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- Title
The Effect of Injection of Saline Adrenaline (1/100000) 15ml versus 5ml on the Skin Edema and Thickness in Rhinoplasty Intraoperative.
- Authors
Rabie, Amr Nabil; El Begermy, Marwa Mohamed; Mohammed, Mohammed Abdelaleem; Yassin Mohamed, Marwa Saeed
- Abstract
Background: Nasal skin edema is a common result of soft and bony tissue trauma during rhinoplastic procedures. In a cosmetic surgery like rhinoplasty, skin edema can fade the cosmetic results and can lead to dissatisfaction for both the surgeon and the patient. Local saline /adrenaline injection is claimed to reduce the nasal skin edema intraoperative. Aim of the work: To assess effect of injection of saline adrenaline (1/100000) 15ml versus 5ml on the skin oedema and thickness during rhinoplasty through thesis study. Subjects and Methods: In this study 30 cases of rhinoplasty will be operated, 15 cases will be injected by saline adrenaline (1/ 100000) of 5ml and the others 15 cases will be injected by saline adrenaline (1/100000) of 15ml, then measuring the skin oedema after 10minutes of saline adrenaline (1/100000) injection, after 30minutes and after 60 minutes of the injection at three sites; the dorsum, supratip and the tip of the nose by Seal Gouge Caliper (surgical caliber). Results: the intraoperative skin edema was significantly decreased with local injection of large amount (15ml) of saline / adrenaline 1/100000 than the usual injected amount (5ml) saline /adrenaline 1/100000 specially at the tip and the supratip of the nose and specially at 30min and 60min after injection, but statistically significance difference only at 60min at the dorsum. Conclusion: that the skin oedema much less with injection of 15ml of saline adrenaline (1/100000) in comparison to injection of 5ml of saline adrenaline (1/100000).
- Subjects
SALINE injections; ADRENALINE; RHINOPLASTY; EDEMA; PLASTIC surgery
- Publication
QJM: An International Journal of Medicine, 2021, Vol 114, pi112
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcab094.011